HomeMy WebLinkAbout322834 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 359366
ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*******456.41*
r ,?� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 322834
INDIANAPOLIS IN 46206-7137 CHECK DATE: 03/12/18
(IDN G
DEPARTMENT ACCOUNT PO NUMBER_ INVOICE NUMBER; AMOUNT I DESCRIPTION
1207 4239040 138439736 456.41 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SYSCO FOOD SERVICES IN SUM OF$ CITY OF CARMEL
PO BOX 7137 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46206-7137
Payee
$456.41
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
138439736 42-390.40 $456.41 1 hereby certify that the attached invoice(s),or 2/22/18 138439736 Food $456.41
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 22,2018
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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DELV. DATE__ CUSTOMER � INVOICE NUMBER PAGE
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BROOKSHIRE GOLF CLUB+++ come from. TRUCK STOP 412940 138439736 8 1
12120 BROOKSHIRE PKWY ��®�°�®� /006
CARMEL IN 46033' �j SYSCO INDIANAPOLIS, LLC aoDTE PURCHASE ORDER
4000 W 62ND ST '7497 TERMS -PAST DUE BALANCES ARE SUBJECT TO SERVICE'CHARGE M
317-846-7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER a
SHELLFISH SHIPPER ID: IN007RS MANIFEST# 611710 NORMAL DELIVERY v
BROOKSHIRE GOLF o
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y
CARMEL IN 46033 DRIVER: _ z
L ITEM UNIT UNIT EXTENDED T p INVOICE ADJUSTMENTS y
O- QTY v PACK SIZE ITEM DESCRIPTION CODE PRICE ATAAX, PRICE.. A I CCE QTY • K
ASK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & H W YOU C EARN CREDI ON YOURACCOUNT!
*** DAIRY ***
M
*C 2S ONLY5LB CASASOL CHEESE CHEDDAR JACK FANCY SH 10999CS, 2819718 15.89 31.78 H
1 CS 25 LB WHLFCLS CREAM SOUR CULTRD GRADE A 3396200 5020193 17.89 17.89
GROUP TOTAL**** 49.67 H
0
*** POULTRY *** z
%F 1 CS 2 LB SYS CLS CHICKEN FAJ BRST STRIP PRCK 50424 1647353 46.82 46.82
GROUP TOTAL**** 46.82 y
*** FROZEN *** o,
®F 2 SCS 45 LB JTM CHILI TEXAS JACK S 43030 4871372 58.60 117.20 "
GROUP TOTAL**** 117.20
*** CANNED & DRY *** o
0
C 1S ONLY24 CT HERSHEY CANDY BAR PAY DAY 80723 7030414 18.75 18.75
\C IS ONLY48 CT SNICKER CANDY BAR SNICKER 1.86 OZ 256479 1793837 36.50 36.50
N
N
1 C 1S ONLY36 CT REESES CANDY PEANUT BUTTER CUP 44000 5197769 25,71 25.71
C 1S ONLY36 CT M&M CANDY SKITTLE FRUIT CHEW 2.17Z 7009251 25.20 25.20
a,
0
`0 1 S 160 CT YS CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 27.51 27.51
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A
2 CS 135 LB SYS REL SHORTENING FRY LIQ CLR ZTF 5020553 4518403 24.69 49.38 A
GROUP TOTAL**** 183.05 ,
*** PRODUCE *** z
0
C 1 CS 15 LB 'IMPFRSH ONION DICED 1/4 YEL 4164760 10.99 10.99 4
GROUP TOTAL**** - 10.99
*** DISPENSER *** o
1 CS 12*.5GAIGLDPEAK SYRUP TEA CONC UNSWT BLK PR 02250298 7065776 43.98 43.98
GROUP .TOTAL**** 43.98 i
MISC �ARGES CHGS FOR FUEL SURCHARGE 4.70
CASES SPLIT OT. CS CUBE GROSS WT. OPEN: 7:00 AM CLOSE• 2:00 PM REMIT TO
ra
P.O. BOX 7137 -
9
137 9 6 15 7.5 202 INDIANAPOLIS, 'IN SUB
46206-7137 TOTAL
TAX
DRIVER'S NO. PCS COST.-x-m svxnenoes oe. zmss NO. PCS TOTAL
SIGN. DELVD. SIGN v REC.
A INVOICE
TOTAL
I
ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUSTHORIZED BY SECTION 5 C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E�C)). TBE SELLER OF THIS COMMODI
AINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES CONT. ON PAGE2
ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FORTHEA Y00 AGREEWITPECT TO ANY DISPUTE ARISING OOT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING OP YOUR RIGHT TO SOR'-IN A4?YRESENTATIVE CAPACITY,OR TO PPRTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING 4NY SUCH DISPUTE.
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ATE 8 NAL INVOICE CONFIDNENT E PROPEPAGE 7-1
SYSCO
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BROOKSHIRE GOLF CLUB+++ come from TRUCK STOP 412940 138439736 8 2
12120 BROOKSHIRE PKWY ��®��a � /006
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND ST 7497 TERMS -PAST DOE BALANCES ARE SUBJECT TO SERVICE CHARGE O
317-846-7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER p
SHELLFISH SHIPPER ID: IN007RS MANIFEST# 611710 NORMAL DELIVERY
BROOKSHIRE GOLF O
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y
CARMEL IN 46033 DRIVER: z
L "7ITEM UNIT UNIT EXTENDED TA p INVOICE ADJUSTMENTS
o QTY PACK SIZE . . ITEM DESCRIPTION CODE PRICE' AMOUNT : PRICE x I CODE QTY
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CASES SPLIT T.PCS CUBE GROSS WT. OPEN: 7:00 AM CLOSE: 2:00 PM REMIT TO -
n
P.O. BOX 7137
INDIANAPOLIS, IN SUB
46206-7137 TOTAL 456.41
9 6 15 7.5 202 TAX
DRIVER'S NO. PCS CUST_axeeuv xxwxea—ms or Arx.xm,s NO. PCS TOTAL
SIGN DELVD. SIGN X REC." INVOICE
TOTAL 456.41
PORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE '
UTHORIZED BY SECTION 5 (CI OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C11 THE SELLER OF THIS COFAfODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PROD DERIVED FROM. THESE COMMODITIES,
ANY RECEIVABLES OR PROCEEDS FAOM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER Y0U AGREE WITH 3/23/18 LAST PAGE
SPECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOi7R RIGIST TO SERVE IN ANY
'PRESENTATIVE CAPACIT`Y,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE• -